1528516929 NPI number — ST. MARY'S MEDICAL GROUP, INC.

Table of content: (NPI 1528516929)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528516929 NPI number — ST. MARY'S MEDICAL GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. MARY'S MEDICAL GROUP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528516929
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 48089
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATHENS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30604-8089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-389-3930
Provider Business Mailing Address Fax Number:
706-389-3951

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
355 CLEAR CREEK PKWY
Provider Second Line Business Practice Location Address:
SUITE 1008
Provider Business Practice Location Address City Name:
LAVONIA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30553-4174
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-356-6894
Provider Business Practice Location Address Fax Number:
706-356-4132
Provider Enumeration Date:
09/14/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CARTER
Authorized Official First Name:
D. MONTEZ
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
706-389-3930

Provider Taxonomy Codes

  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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